Management of Graves’ upper eyelid retraction (GUER): A review

Graves’ disease, a common autoimmune disorder, characteristically presents with upper eyelid retraction, causing significant functional and cosmetic concerns for affected individuals. The management of Graves’ upper eyelid retraction has evolved significantly over recent years, with various surgical...

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Main Authors: Akruti Desai, Pallavi Singh, Dan Rootman, Milind N. Naik
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-02-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/IJO.IJO_748_24
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author Akruti Desai
Pallavi Singh
Dan Rootman
Milind N. Naik
author_facet Akruti Desai
Pallavi Singh
Dan Rootman
Milind N. Naik
author_sort Akruti Desai
collection DOAJ
description Graves’ disease, a common autoimmune disorder, characteristically presents with upper eyelid retraction, causing significant functional and cosmetic concerns for affected individuals. The management of Graves’ upper eyelid retraction has evolved significantly over recent years, with various surgical and non-surgical interventions. An ideal procedure is predictable and easily repeatable. This review provides a comprehensive overview of the contemporary approaches to managing Graves’ upper eyelid retraction, encompassing both traditional and emerging techniques. It critically evaluates the surgical options for correcting Graves’ upper eyelid retraction to achieve the desired eyelid contour, eyelid crease, tarsal platform show, and brow fat span. Their comparative effectiveness is meticulously explored, offering clinicians valuable insights into treatment selection. Moreover, this review also underscores combined orbital decompression with levator recession. Additionally, advancements in non-invasive modalities, including botulinum toxin, triamcinolone acetate injections, and hyaluronic acid fillers are discussed in detail. This review aims to facilitate informed decision-making and improve the overall outcomes for individuals affected by Graves’ disease-associated upper eyelid retraction.
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series Indian Journal of Ophthalmology
spelling doaj-art-33879e1afdbf446b908894332418252b2025-02-06T05:39:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-02-0173216417210.4103/IJO.IJO_748_24Management of Graves’ upper eyelid retraction (GUER): A reviewAkruti DesaiPallavi SinghDan RootmanMilind N. NaikGraves’ disease, a common autoimmune disorder, characteristically presents with upper eyelid retraction, causing significant functional and cosmetic concerns for affected individuals. The management of Graves’ upper eyelid retraction has evolved significantly over recent years, with various surgical and non-surgical interventions. An ideal procedure is predictable and easily repeatable. This review provides a comprehensive overview of the contemporary approaches to managing Graves’ upper eyelid retraction, encompassing both traditional and emerging techniques. It critically evaluates the surgical options for correcting Graves’ upper eyelid retraction to achieve the desired eyelid contour, eyelid crease, tarsal platform show, and brow fat span. Their comparative effectiveness is meticulously explored, offering clinicians valuable insights into treatment selection. Moreover, this review also underscores combined orbital decompression with levator recession. Additionally, advancements in non-invasive modalities, including botulinum toxin, triamcinolone acetate injections, and hyaluronic acid fillers are discussed in detail. This review aims to facilitate informed decision-making and improve the overall outcomes for individuals affected by Graves’ disease-associated upper eyelid retraction.https://journals.lww.com/10.4103/IJO.IJO_748_24grave’s upper eyelid retractionlevator recessionthyroid eye disease
spellingShingle Akruti Desai
Pallavi Singh
Dan Rootman
Milind N. Naik
Management of Graves’ upper eyelid retraction (GUER): A review
Indian Journal of Ophthalmology
grave’s upper eyelid retraction
levator recession
thyroid eye disease
title Management of Graves’ upper eyelid retraction (GUER): A review
title_full Management of Graves’ upper eyelid retraction (GUER): A review
title_fullStr Management of Graves’ upper eyelid retraction (GUER): A review
title_full_unstemmed Management of Graves’ upper eyelid retraction (GUER): A review
title_short Management of Graves’ upper eyelid retraction (GUER): A review
title_sort management of graves upper eyelid retraction guer a review
topic grave’s upper eyelid retraction
levator recession
thyroid eye disease
url https://journals.lww.com/10.4103/IJO.IJO_748_24
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